Individual provider · NPI-1

Elizabeth Humphrey, MS, CCC-SLP

Speech-Language Pathologist, · Kingman, AZ

NPI number1417790403
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1417790403
Entity type
Individual (NPI-1)
Name
Elizabeth Humphrey
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 17, 2024
Certification date
Jun 17, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP12403AZYes

Practice location

3800 Katie Lane Loop
Kingman, AZ 86401-4336

Phone 317-354-7925

Mailing address

3800 Katie Lane Loop
Kingman, AZ 86401-4336

Phone 317-354-7925

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